Individual provider Active NPI

Mia Turner

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1689192460
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT124914 Issued in CA
Practice address
3301 E 12TH St Ste 259
Oakland, CA 94601-2940
Phone
(510) 269-9031
NPI assigned
Aug 31, 2017
Reactivated
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AMFT110660 CA
Marriage & Family Therapist 106H00000X LMFT124914 CA Primary

Addresses

Primary practice location

3301 E 12TH St Ste 259
Oakland, CA 94601-2940

Mailing address

1035 San Pablo Ave Ste 9
Albany, CA 94706-2277
Phone (510) 216-6212

Other practice location 1

1450 4th St Apt 10
Berkeley, CA 94710-1328
Phone (510) 216-6212

Other practice location 2

3301 E 12th St Ste 259
Oakland, CA 94601
Phone (510) 693-5711

Other practice location 3

1727 Martin Luther King Jr Way Ste 109
Oakland, CA 94612-1358
Phone (510) 883-4677

Other practice location 4

1175 San Pablo Ave.
El Cerrito, CA 94530
Phone (510) 231-1430 ext. 25037

Other practice location 5

1035 San Pablo Ave Ste 9
Albany, CA 94706-2277
Phone (510) 216-6212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT124914CAMDMarriage & Family Therapist
AMFT110660CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Yaarah Family Therapy & Wellness Services Inc Marriage & Family Therapist Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1689192460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SAN PABLO AVE STE 9",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062277",
            "telephone_number": "510-216-6212",
            "fax_number": "510-788-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 12TH ST STE 259",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012940",
            "telephone_number": "510-269-9031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 4th St Apt 10",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947101328",
            "country_code": "US",
            "telephone_number": "510-216-6212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 E 12th St Ste 259",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94601",
            "country_code": "US",
            "telephone_number": "510-693-5711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 Martin Luther King Jr Way Ste 109",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121358",
            "country_code": "US",
            "telephone_number": "510-883-4677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 San Pablo Ave.",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "94530",
            "country_code": "US",
            "telephone_number": "510-231-1430 x25037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 San Pablo Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "CA",
            "postal_code": "947062277",
            "country_code": "US",
            "telephone_number": "510-216-6212",
            "fax_number": "510-788-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "deactivation_date": "2018-12-10",
        "reactivation_date": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "AMFT110660",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT124914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.